General practice registrars’ intentions for future practice: Implications for rural medical workforce planning

The models of practice that general practice registrars (GPRs) envisage undertaking will affect workforce supply. The aim of this research was to determine practice intentions of current GPRs in a regional general practice training program (Coast City Country General Practice Training). Questionnaires were circulated to 220 GPRs undertaking general practice placements to determine characteristics of ideal practice models and intentions for future practice. Responses were received for 99 participants (45%). Current GPRs intend to work an average of less than eight half-day sessions/week, with male participants intending to work more hours (t(91) = 3.528, P = 0.001). More than one-third of this regional cohort intends to practice in metropolitan centres. Proximity to family and friends was the most important factor influencing the choice of practice location. Men ranked remuneration for work as more important (t (88) = –4.280, P \u3c 0.001) and women ranked the ability to work part-time higher (t(94) = 3.697, P \u3c 0.001). Fee-for-service payment alone, or in combination with capitation, was the preferred payment system. Only 22% of Australian medical graduates intend to own their own practice compared with 52% of international medical graduates (χ2(1) = 8.498, P = 0.004). Future general practitioners (GPs) intend to work fewer hours than current GPs. Assumptions about lifestyle factors, practice models and possible professional roles should be carefully evaluated when developing strategies to recruit GPs and GPRs into rural practice

Siberian Tiger Species Survival Plan: A Strategy for Survival

The wild population of Siberian tigers (Panthera tigris altaica) is estimated at about 300 in six separate populations. Since an effective population size of at least 500 is necessary for long-term survival and evolution, and since the wild populations are not going to be able to expand in their natural habitat, it is evident that a captive breeding program is necessary for sustained preservation of this form. There are 1000 living Siberian tigers in zoos; only three outside of Russia are wild-born. About 250 are in North American zoos. Although about 68 wild-caught animals have been brought into zoos, six animals account for 69% of the founder representation of the living population. The population is inbred with mean F = 0.113, and 70% of the population has a positive inbreeding coefficient. Inbreeding in tigers results in a decrease in life span in animals living longer than one year. The genetically effective population size (Ne) is about 0.35 of the census size (N) when it could be 2N. This is a result of unequal family sizes of both male and female parents. About 50 North American zoos are participating in a tiger Species Survival Plan (SSP) formulated by the American Association of Zoological Parks and Aquariums. An 11-person propagation committee was elected by the institutional representatives to work with the Species Coordinator in developing and implementing the plan. The breeding strategy includes agreements to maintain an effective population of250 animals, to maintain a demographically stable population and to provide for maximum retention of available genetic diversity by maximizing the Ne in relation to and minimizing inbreeding. These objectives will be accomplished by introducing new founder stock; equalizing representation of founders; equalizing family sizes, with each animal contributing to the next generation; avoiding inbreeding; avoiding phenotypic selection; producing 10 to 15 litters per year, and removing from the SSP population all animals reaching the age of 13 years if they have made their genetic contribution. A detailed plan specifying by zoo, for each animal, recommended animals to be bred and the year for the matings has been through three revisions and is being used by participants. The plan also identifies animals that are not to be bred for the SSP and the dates all animals are to be considered surplus to the SSP

Use of the Moon to Distinguish the F from the K Corona Using a Rocket Coronagraph During an Eclipse

F and K corona observations by rocket coronagraph during solar eclips

Whole blood NAD and NADP concentrations are not depressed in subjects with clinical pellagra

Population surveys for niacin deficiency are normally based on clinical signs or on biochemical measurements of urinary niacin metabolites. Status may also be determined by measurement of whole blood NAD and NADP concentrations. To compare these methods, whole blood samples and spot urine samples were collected from healthy subjects (n = 2) consuming a western diet, from patients (n = 34) diagnosed with pellagra and attending a pellagra clinic in Kuito (central Angola, where niacin deficiency is endemic), and from female community control subjects (n = 107) who had no clinical signs of pellagra. Whole blood NAD and NADP concentrations were measured by microtiter plate-based enzymatic assays and the niacin urinary metabolites 1-methyl-2-pyridone-5-carboxamide (2-PYR) and 1-methylnicotinamide (1-MN) by HPLC. In healthy volunteers, inter- and intra-day variations for NAD and NADP concentrations were much lower than for the urinary metabolites, suggesting a more stable measure of status. However, whole blood concentrations of NAD and NADP or the NAD:NADP ratio were not significantly depressed in clinical pellagra. In contrast, the concentrations of 2-PYR and 1-MN, expressed relative to either creatinine or osmolality, were lower in pellagra patients and markedly higher following treatment. The use of the combined cut-offs (2-PYR <3.0 micromol/mmol creatinine and 1-MN <1.3 micromol/mmol creatinine) gave a sensitivity of 91% and specificity of 72%. In conclusion, whole blood NAD and NADP concentrations gave an erroneously low estimate of niacin deficiency. In contrast, spot urine sample 2-PYR and 1-MN concentrations, relative to creatinine, were a sensitive and specific measure of deficiency

Low and deficient niacin status and pellagra are endemic in postwar Angola

BACKGROUND: Outbreaks of pellagra were documented during the civil war in Angola, but no contemporary data on the incidence of pellagra or the prevalence of niacin deficiency were available. OBJECTIVE: The objective was to investigate the incidence of pellagra and the prevalence of niacin deficiency in postwar Angola and their relation with dietary intake, poverty, and anthropometric status. DESIGN: Admissions data from 1999 to 2004 from the pellagra treatment clinic in Kuito, Angola, were analyzed. New patients admitted over 1 wk were examined, and urine and blood samples were collected. A multistage cluster population survey collected data on anthropometric measures, household dietary intakes, socioeconomic status, and clinical signs of pellagra for women and children. Urinary excretion of 1-methylnicotinamide, 1-methyl-2-pyridone-5-carboxymide, and creatinine was measured and hemoglobin concentrations were measured with a portable photometer. RESULTS: The incidence of clinical pellagra has not decreased since the end of the civil war in 2002. Low excretion of niacin metabolites was confirmed in 10 of 11 new clinic patients. Survey data were collected for 723 women aged 15-49 y and for 690 children aged 6-59 mo. Excretion of niacin metabolites was low in 29.4% of the women and 6.0% of the children, and the creatinine-adjusted concentrations were significantly lower in the women than in the children (P < 0.001, t test). In children, niacin status was positively correlated with the household consumption of peanuts (r = 0.374, P = 0.001) and eggs (r = 0.290, P = 0.012) but negatively correlated with socioeconomic status (r = -0.228, P = 0.037). CONCLUSIONS: The expected decrease in pellagra incidence after the end of the civil war has not occurred. The identification of niacin deficiency as a public health problem should refocus attention on this nutritional deficiency in Angola and other areas of Africa where maize is the staple

A Study of Heavy-Light Mesons on the Transverse Lattice

We present results from a study of meson spectra and structure in the limit where one quark is infinitely heavy. The calculations, based on the framework of light-front QCD formulated on a transverse lattice, are the first non-perturbative studies of B-mesons in light-front QCD. We calculate the Isgur-Wise form factor, light-cone distribution amplitude, the heavy-quark parton distribution function and the leptonic decay constant of B-mesons.Comment: 5 pages, 3 figures, Revtex, corrected typos, added references, included moment

Association of waist circumference with outcomes in an acute general surgical unit

Background: Obesity prevalence is increasing in Australia, particularly in non-metropolitan areas. The effect of obesity on acute surgical outcomes is not known. We aimed to record waist circumference (WC) (surrogate for obesity) amongst acute surgical unit (ASU) patients in a New South Wales regional hospital, and compare outcome measures (length of stay (LOS), unplanned return to theatre, readmission rates, intensive care unit (ICU) admission and mortality). Methods: Retrospective cohort study of 4 months of consecutive ASU admissions, excluding age Results: Of 695 admissions, 512 met the inclusion criteria (47.1% female, average age 52.8 years (SD 22.3)), with 85.1% (P \u3c 0.001) of females and 69.4% (P =0.166)ofmales having an increased- or high-risk WC. This compares to rates amongst inner regional populations of 71.0% (female) and 66.4% (male). LOS was longer for high-risk patients (5.0 days versus 3.7 days, P = 0.002). However, the mean age of high-risk patients was greater (56.6 years versus 46.9 years, P = 0.001) and LOS was longer for those aged ≥60 (P \u3c 0.001). After controlling for age, high-risk WC was not associated with any outcome measure, except amongst ICU admissions, where high-risk patients stayed longer (15.5 days versus 6.8 days, P \u3c0.001). Conclusion: Increased- and high-risk WC was overrepresented amongst female ASU patients. High-risk WC was associated with a significantly greater LOS in patients admitted to ICU. High-risk WC was not associated with other outcomes independent of age. WC is useful for quantifying obesity in the inpatient settin

X-ray photoelectron spectroscopy investigations of the chemistries of soils

The present study continues our x-ray photoelectron spectroscopy (XPS) or electron spectroscopy for chemical analysis investigations of silicate systems, particularly those in contact with biological materials. In the present case, the investigations are extended to a detailed analysis for a wide variety of soil samples extracted from different locations around the world. The samples were selected from relatively pristine sites, pressed into wafers, and were examined without further modification. All of the materials were insulators and therefore analysis required extensive use of the electron flood gun. Careful XPS chemical shift assignments have been achieved for many silicate minerals. These have been exploited in the present study along with the detailed XPS analysis of organofunctional groups rendered by Beamson and Briggs. As a result, a fairly detailed simultaneous nondestructive description is provided of the surface of both the humus and silt components of these soil samples. Substantial variations in the composition are demonstrated and questions are raised about our classifications of fertility

Transcript expression of vesicular glutamate transporters in lumbar dorsal root ganglia and the spinal cord of mice – Effects of peripheral axotomy or hindpaw inflammation

Using specific riboprobes, we characterized the expression of vesicular glutamate transporter (VGLUT)1–VGLUT3 transcripts in lumbar 4–5 (L4–5) dorsal root ganglions (DRGs) and the thoracolumbar to lumbosacral spinal cord in male BALB/c mice after a 1- or 3-day hindpaw inflammation, or a 7-day sciatic nerve axotomy. Sham animals were also included. In sham and contralateral L4–5 DRGs of injured mice, VGLUT1-, VGLUT2- and VGLUT3 mRNAs were expressed in ∼45%, ∼69% or ∼17% of neuron profiles (NPs), respectively. VGLUT1 was expressed in large and medium-sized NPs, VGLUT2 in NPs of all sizes, and VGLUT3 in small and medium-sized NPs. In the spinal cord, VGLUT1 was restricted to a number of NPs at thoracolumbar and lumbar segments, in what appears to be the dorsal nucleus of Clarke, and in mid laminae III–IV. In contrast, VGLUT2 was present in numerous NPs at all analyzed spinal segments, except the lateral aspects of the ventral horns, especially at the lumbar enlargement, where it was virtually absent. VGLUT3 was detected in a discrete number of NPs in laminae III–IV of the dorsal horn. Axotomy resulted in a moderate decrease in the number of DRG NPs expressing VGLUT3, whereas VGLUT1 and VGLUT2 were unaffected. Likewise, the percentage of NPs expressing VGLUT transcripts remained unaltered after hindpaw inflammation, both in DRGs and the spinal cord. Altogether, these results confirm previous descriptions on VGLUTs expression in adult mice DRGs, with the exception of VGLUT1, whose protein expression was detected in a lower percentage of mouse DRG NPs. A detailed account on the location of neurons expressing VGLUTs transcripts in the adult mouse spinal cord is also presented. Finally, the lack of change in the number of neurons expressing VGLUT1 and VGLUT2 transcripts after axotomy, as compared to data on protein expression, suggests translational rather than transcriptional regulation of VGLUTs after injury.Fil: Malet, Mariana. Universidad Austral. Facultad de Ciencias Biomédicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Vieytes, C. A.. Universidad Austral. Facultad de Ciencias Biomédicas; ArgentinaFil: Lundgren, K. H.. University of Cincinnati; Estados UnidosFil: Seal, R. P.. University of Pittsburgh; Estados UnidosFil: Tomasella, María Eugenia. Universidad Austral. Facultad de Ciencias Biomédicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Seroogy, K. B.. University of Cincinnati; Estados UnidosFil: Hökfelt, T.. Karolinska Huddinge Hospital. Karolinska Institutet; SueciaFil: Gebhart, G. F.. University of Pittsburgh; Estados UnidosFil: Brumovsky, Pablo Rodolfo. Universidad Austral. Facultad de Ciencias Biomédicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. University of Pittsburgh; Estados Unido

An experimental and master-equation modeling study of the kinetics of the reaction between resonance-stabilized (CH3)(2)CCHCH2 radical and molecular oxygen

The kinetics of the reaction between resonance-stabilized (CH3)(2)CCHCH2 radical (R) and O-2 has been investigated using photoionization mass spectrometry, and master equation (ME) simulations were performed to support the experimental results. The kinetic measurements of the (CH3)(2)CCHCH2 + O-2 reaction (1) were carried out at low helium bath-gas pressures (0.2-5.7 Torr) and over a wide temperature range (238-660 K). Under low temperature (238-298 K) conditions, the pressure-dependent bimolecular association reaction R + O-2 -> ROO determines kinetics, until at an intermediate temperature range (325-373 K) the ROO adduct becomes thermally unstable and increasingly dissociates back to the reactants with increasing temperature. The initial association of O-2 with (CH3)(2)CCHCH2 radical occurs on two distinct sites: terminal 1(t) and non-terminal 1(nt) sites on R, leading to the barrierless formation of ROO(t) and ROO(nt) adducts, respectively. Important for autoignition modelling of olefinic compounds, bimolecular reaction channels appear to open for the R + O-2 reaction at high temperatures (T > 500 K) and pressure-independent bimolecular rate coefficients of reaction (1) with a weak positive temperature dependence, (2.8-4.6) x 10(-15) cm(3) molecule(-1) s(-1), were measured in the temperature range of 500-660 K. At a temperature of 501 K, a product signal of reaction (1) was observed at m/z = 68, probably originating from isoprene. To explore the reaction mechanism of reaction (1), quantum chemical calculations and ME simulations were performed. According to the ME simulations, without any adjustment to energies, the most important and second most important product channels at the high temperatures are isoprene + HO2 (yield > 91%) and (2R/S)-3-methyl-1,2-epoxybut-3-ene + OH (yield isoprene + HO2 (similar to 2.2 kcal mol(-1)), the ME model was able to reproduce the experimental findings. Modified Arrhenius expressions for the kinetically important reaction channels are enclosed to facilitate the use of current results in combustion models.Peer reviewe